Ikọlu atẹgun pajawiri

Idoro atẹgun pajawiri jẹ ifisi abẹrẹ ṣofo sinu atẹgun ninu ọfun. O ti ṣe lati ṣe itọju fifun-idẹruba aye.

Ikọlu atẹgun pajawiri ti ṣe ni ipo pajawiri, nigbati ẹnikan ba wa ni fifun ati gbogbo awọn igbiyanju miiran lati ṣe iranlọwọ pẹlu mimi ti kuna.

• Abẹrẹ tabi tube ti o ṣofo ni a le fi sii sinu ọfun, ni isalẹ isalẹ apple ti Adam (kerekere tairodu), sinu ọna atẹgun. Abẹrẹ naa kọja laarin kerekere tairodu ati kerekere cricoid.
• Ni ile-iwosan kan, ṣaaju ki o to fi abẹrẹ sii, gige kekere le ṣee ṣe ni awọ ara ati awọ ilu laarin tairodu ati awọn kerekere cricoid.

Cricothyrotomy jẹ ilana pajawiri lati ṣe iranlọwọ fun idena ọna atẹgun titi ti o fi le ṣe iṣẹ abẹ lati gbe tube ti nmí (tracheostomy).

Ti idena ọna atẹgun ba waye pẹlu ibalokanjẹ si ori, ọrun, tabi ọpa ẹhin, a gbọdọ ṣe abojuto lati yago fun ipalara siwaju si eniyan naa.

Awọn eewu fun ilana yii pẹlu:

• Ipalara si apoti ohun (larynx), ẹṣẹ tairodu, tabi esophagus

Awọn eewu fun eyikeyi iṣẹ abẹ ni:

• Ẹjẹ
• Ikolu

Bi eniyan ṣe dara da lori idi ti idena ọna atẹgun ati bii eniyan ṣe yara gba atilẹyin mimi to dara. Idoro atẹgun pajawiri n pese atilẹyin mimi to fun igba kukuru pupọ.

Abẹrẹ cricothyrotomy

• Ikọlu atẹgun pajawiri
• Kereeti Cricoid
• Ikọlu atẹgun pajawiri - jara

Cattano D, Piacentini AGG, Cavallone LF. Wiwọle ọna atẹgun pajawiri Percutaneous. Ni: Hagberg CA, Artime CA, Aziz MF, awọn eds. Hagberg ati Benumof ti Isakoso Airway. Kẹrin ed. Philadelphia, PA: Elsevier; 2018: ori 27.

Herbert RB, Thomas D. Cricothyrotomy ati eefun translaryngeal percutaneous. Ni: Roberts JR, Custalow CB, Thomsen TW, awọn eds. Awọn ilana Itọju Iwosan ti Roberts ati Hedges ni Oogun pajawiri ati Itọju Itọju. 7th ed. Philadelphia, PA: Elsevier; 2019: ori 6.